Kegel

Holding in gas and holding in urine are not interchangeable cues. A Kegel is associated more closely with contraction of the anterior pelvic floor than with posterior pelvic floor cueing. Holding in urine causes the pelvic floor to ascend because the anterior pelvic floor region contracts. A Kegel-like strategy can be appropriate during exhalation because anterior pelvic floor contraction supports upward pressure movement and diaphragm ascent.